Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →🤖 ML Fraud Detection Score: Very High
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
657
Total Claims
$67K
Drug Cost
187
Beneficiaries
$360
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-11%
Opioid rate vs peers
2.3% vs 2.6% avg
-66%
Cost per patient vs peers
$360 vs $1,068 avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
2.3%
Opioid Rate
15
Opioid Claims
$550
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 612 claims · $33K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hcl | 151 | $22K |
| Buprenorphine Hcl/Naloxone Hcl | 19 | $14K |
| Buprenorphine Hcl | 45 | $3,476 |
| Naltrexone Hcl | 20 | $1,670 |
| Gabapentin | 30 | $468 |
| Doxycycline Hyclate | 21 | $253 |
| Diclofenac Sodium | 14 | $164 |
| Azithromycin | 17 | $88 |
| Lorazepam | 27 | $64 |
| Prednisone | 22 | $57 |
| Triamcinolone Acetonide | 13 | $57 |
| Alprazolam | 16 | $43 |
| Clonazepam | 11 | $33 |
Prescribing Profile
12
Unique Drugs
8.0
Anomaly Score
Patient Profile
69
Avg Age
59%
Female
1.38
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About